1 / 12

The Postpartum Period The Postpartum Family: Needs and Care Chapter 22

The Postpartum Period The Postpartum Family: Needs and Care Chapter 22. Maternal-Newborn & Child Nursing London, Ladewig, Ball & Bindler Prepared by Mary Ann Gagen Professor of Nursing. The Postpartum Family: Needs and Care. Clinical Pathway: For the Postpartum Period,

dakota
Download Presentation

The Postpartum Period The Postpartum Family: Needs and Care Chapter 22

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Postpartum PeriodThe Postpartum Family:Needs and CareChapter 22 Maternal-Newborn & Child Nursing London, Ladewig, Ball & Bindler Prepared by Mary Ann Gagen Professor of Nursing

  2. The Postpartum Family:Needs and Care • Clinical Pathway: For the Postpartum Period, pp 464 - 466

  3. Nursing Management During the Early Postpartum Period • Nursing Diagnosis • Constipation r/t fear of tearing stitches AEB … • Family process alteration r/t inclusion of new member • Infection, HR for, r/t altered primary defenses during the postpartum period • Urinary elimination pattern alteration r/t sensory impairment during labor AEB… • Knowledge deficit r/t PP self-care AEB…Skin integrity impairment r/t surgical incision AEB… • Pain r/t PP physiologic changes AEB…

  4. PP Nursing Management, cont’d • Promotion of Maternal Physical Well-being • Uterine status Table 22-1, p 467 • Drug Guide, p 468 • Promotion of Comfort and Relief of Pain • Perineal discomfort • Hemorrhoidal discomfort • Afterpains • Immobility • Postpartum diaphoresis • Table 22-3: Common PP drugs, p 470

  5. The Postpartum Family:Needs and Care, cont’d • Suppression of lactation in the nonnursing mother • Promotion of rest and activity • Pharmacologic interventions

  6. The Postpartum Family:Needs and Care, cont’d • Promotion of maternal psychologic well-being • Effective parent education • Parent – infant attachment • Promotion of familywellness

  7. Nursing Management after Cesarean Birth • Promotion of maternal physical well-being • Promotion of parent-infant interaction after Cesarean birth

  8. Discharge Information • Signs of possible complications • PP self care • “Hot-line”, agencies, support groups for special needs • Nutrition • PP appointment • Birth certificate • Basic infant care • S & Sx infant problems • Home visit/follow-up call

  9. Sexual Activity and Contraception • Resumption of sexual activity • Teaching about… • pg 700 • Contraception • Chapter 3, pp 47 – 56 • Teaching about … pg 56

  10. Questions?

  11. Test question • The laboratory results of a postpartum woman are as follow: blood type, A; Rh status, positive (+); rubella titer, 1:4; Hct, 30%; How would the nurse best interpret this data? • a. a blood transfusion should be given • b. Rubella vaccine should be given • c. A Kleinhauer-Betke test should be performed • d. Rh immune globulin is necessary within 72 hours of birth

  12. Keep going… • Which of the following clients is most likely to experience strong afterpains? • a. She is a G4P4004 • b. She is bottle-feeding her baby • c. She exhibited oligohydraminos • d. She had a baby that weighed 5lb 3oz

More Related